| NPI | 1497047377 |
|---|---|
| Former Name | KORIE TABOR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: CA 665677) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 665677) |
| Enumeration Date | 2011-05-10 |
| Last Update Date | 2021-12-14 |